EMT Trauma exam Questions and
Answers 100% Pass
What is the definition of a flail chest? - ✔✔Two or more adjacent ribs fractured in two or
more places
What is the definitive treatment for a flail chest? - ✔✔BVM or CPAP
Name 2 different devices you might use to stabilize a pelvic fracture: - ✔✔1. Sheet splint
2. Commercial pelvic binder
List 5 things that describe a correctly applied dressing for an evisceration (besides
covering the wound/organ). This dressing must be: - ✔✔1. Moist
2. Sterile
3. Non-fibrous
4. Occlusive
5. Taped on 4 sides
When should you replace the organs in the abdomen if they are eviscerated? - ✔✔Never
In what position should you transport a patient with an abdominal evisceration who
does not need SMR? - ✔✔Semi-Fowlers or Supine; Flex knees/hips
How do you treat a female patient with a bleeding straddle injury? - ✔✔Direct pressure
applied externally, and do not pack vagina
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
,For a stable male patient whose hand is clamped inside a small metal vice-like cylinder,
should you attempt to remove the hand from the cylinder and then treat the injury, or
transport the patient with his hand still in the cylinder and let the ED attempt to remove
it? Why? - ✔✔Attempt removal.longer clamped/crushed -> more edema, more toxin
buildup, more injury
Name 3 things that must be done, and 1 thing that should not be done, when
transporting an amputated body part: - ✔✔1. Do wrap in dry/moist sterile dressing,
rinse2. Do place in a plastic bag3. Do keep it cool4. Do not put directly on ice
Name 2 things that you should do ASAP to treat an open (sucking) chest wound - ✔✔1.
Immediately cover with a gloved hand
2. Apply occlusive dressing taped on 3 sides
Name 4 signs of pericardial tamponade: - ✔✔1. JVD
2. Tachycardia
3. Narrow pulse pressure Hypotension
4. Pulsus paradoxus
What 2 signs let you know a tourniquet is applied appropriately - ✔✔1. Bleeding stops
2. No distal pulse
List 2 definitive signs that a pneumothorax has just progressed to a tension
pneumothorax - ✔✔1. Hypotension
2. Change in mentation
List 5 signs/symptoms of internal bleeding - ✔✔1. Pain Tenderness
2. Hematemesis Hematochezia Melena
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 2
,3. Increased respiratory rate Increased heart rate Weak/thready pulse
4. Narrow pulse pressure
5. Thirst Skin pale/cool/clammy Pupils dilated/sluggish
What is the minimal time you should irrigate a chemical burn to the eye? - ✔✔20
minutes
How long should you irrigate/cool a thermal burn if found within the first 10 minutes?
- ✔✔1-2 minutes
Which 2 bone fractures are considered critical fractures?How much blood can be lost
from each one? - ✔✔Pelvis: entire blood supply
Femur: 1500 mL from each
List the 5 most important factors to consider in determining the severity of a burn: -
✔✔1. Depth of burn
2. BSA
3. Location (critical area)
4. Pre-existing conditions
5. Age < 2 or > 55
Give the BSA for Superficial thickness to face/neck; partial thickness to chest and front
of each arm. - ✔✔18
Give the BSA for Full thickness to entire back and back of head/neck; partial thickness
to backside of each arm. - ✔✔31.5
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 3
, Give the BSA for Partial thickness to all legs and genitals; superficial thickness to
abdomen and lower back. - ✔✔37
Give the BSA for Full thickness to each arm distal to elbow; partial thickness to each
upper arm and chest superficial thickness to face/neck - ✔✔27
Give the BSA for Superficial thickness to upper back, neck, face, and chest - ✔✔0
What is Kehr sign - ✔✔Referred pain in shoulder from abdominal injury causing blood
to touch diaphragm
Name 3 organs or structures located in the retroperitoneal area - ✔✔SAD PUCKER:
S = Suprarenal (adrenal) glands
A = Aorta/Inferior Vena Cava
D = Duodenum (second and third segments)
P = Pancreas
U = Ureters
C = Colon (ascending and descending only)
K = Kidneys
E = Esophagus
R = Rectum
Your 17 y/o male patient suddenly became pulseless and apneic after being struck in
the chest during a boxing match. What is this type of cardiac arrest called? And what
treatment will give the patient the best chance of recovery? - ✔✔Type of cardiac arrest:
Commotio cordis;
Best treatment: AED
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 4
Answers 100% Pass
What is the definition of a flail chest? - ✔✔Two or more adjacent ribs fractured in two or
more places
What is the definitive treatment for a flail chest? - ✔✔BVM or CPAP
Name 2 different devices you might use to stabilize a pelvic fracture: - ✔✔1. Sheet splint
2. Commercial pelvic binder
List 5 things that describe a correctly applied dressing for an evisceration (besides
covering the wound/organ). This dressing must be: - ✔✔1. Moist
2. Sterile
3. Non-fibrous
4. Occlusive
5. Taped on 4 sides
When should you replace the organs in the abdomen if they are eviscerated? - ✔✔Never
In what position should you transport a patient with an abdominal evisceration who
does not need SMR? - ✔✔Semi-Fowlers or Supine; Flex knees/hips
How do you treat a female patient with a bleeding straddle injury? - ✔✔Direct pressure
applied externally, and do not pack vagina
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 1
,For a stable male patient whose hand is clamped inside a small metal vice-like cylinder,
should you attempt to remove the hand from the cylinder and then treat the injury, or
transport the patient with his hand still in the cylinder and let the ED attempt to remove
it? Why? - ✔✔Attempt removal.longer clamped/crushed -> more edema, more toxin
buildup, more injury
Name 3 things that must be done, and 1 thing that should not be done, when
transporting an amputated body part: - ✔✔1. Do wrap in dry/moist sterile dressing,
rinse2. Do place in a plastic bag3. Do keep it cool4. Do not put directly on ice
Name 2 things that you should do ASAP to treat an open (sucking) chest wound - ✔✔1.
Immediately cover with a gloved hand
2. Apply occlusive dressing taped on 3 sides
Name 4 signs of pericardial tamponade: - ✔✔1. JVD
2. Tachycardia
3. Narrow pulse pressure Hypotension
4. Pulsus paradoxus
What 2 signs let you know a tourniquet is applied appropriately - ✔✔1. Bleeding stops
2. No distal pulse
List 2 definitive signs that a pneumothorax has just progressed to a tension
pneumothorax - ✔✔1. Hypotension
2. Change in mentation
List 5 signs/symptoms of internal bleeding - ✔✔1. Pain Tenderness
2. Hematemesis Hematochezia Melena
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 2
,3. Increased respiratory rate Increased heart rate Weak/thready pulse
4. Narrow pulse pressure
5. Thirst Skin pale/cool/clammy Pupils dilated/sluggish
What is the minimal time you should irrigate a chemical burn to the eye? - ✔✔20
minutes
How long should you irrigate/cool a thermal burn if found within the first 10 minutes?
- ✔✔1-2 minutes
Which 2 bone fractures are considered critical fractures?How much blood can be lost
from each one? - ✔✔Pelvis: entire blood supply
Femur: 1500 mL from each
List the 5 most important factors to consider in determining the severity of a burn: -
✔✔1. Depth of burn
2. BSA
3. Location (critical area)
4. Pre-existing conditions
5. Age < 2 or > 55
Give the BSA for Superficial thickness to face/neck; partial thickness to chest and front
of each arm. - ✔✔18
Give the BSA for Full thickness to entire back and back of head/neck; partial thickness
to backside of each arm. - ✔✔31.5
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 3
, Give the BSA for Partial thickness to all legs and genitals; superficial thickness to
abdomen and lower back. - ✔✔37
Give the BSA for Full thickness to each arm distal to elbow; partial thickness to each
upper arm and chest superficial thickness to face/neck - ✔✔27
Give the BSA for Superficial thickness to upper back, neck, face, and chest - ✔✔0
What is Kehr sign - ✔✔Referred pain in shoulder from abdominal injury causing blood
to touch diaphragm
Name 3 organs or structures located in the retroperitoneal area - ✔✔SAD PUCKER:
S = Suprarenal (adrenal) glands
A = Aorta/Inferior Vena Cava
D = Duodenum (second and third segments)
P = Pancreas
U = Ureters
C = Colon (ascending and descending only)
K = Kidneys
E = Esophagus
R = Rectum
Your 17 y/o male patient suddenly became pulseless and apneic after being struck in
the chest during a boxing match. What is this type of cardiac arrest called? And what
treatment will give the patient the best chance of recovery? - ✔✔Type of cardiac arrest:
Commotio cordis;
Best treatment: AED
COPYRIGHT © 2025 BY BRITTIE DONALD, ALL RIGHTS RESERVED 4
